4.3 Article

Cognitive Behavioral Therapy Plus a Serious Game as a Complementary Tool for a Patient With Parkinson Disease and Impulse Control Disorder: Case Report

期刊

JMIR SERIOUS GAMES
卷 10, 期 3, 页码 -

出版社

JMIR PUBLICATIONS, INC
DOI: 10.2196/33858

关键词

Parkinson disease; impulse control disorder; hypersexuality; multidisciplinary approach; serious game

资金

  1. CERCA (Centres de Recerca de Catalunya) Programme/Generalitat de Catalunya
  2. Ministerio de Economia y Competitividad [PSI2015-68701-R]
  3. Ministerio de Ciencia, Innovacion y Universidades [RTI2018-101837-B-100]
  4. Delegacion del Gobierno para el Plan Nacional sobre Drogas [2019I47, 2021I031]
  5. Instituto de Salud Carlos III (ISCIII) [PI17/01167]
  6. FEDER (Federacion Espanola de Enfermedades Raras) funds/European Regional Development Fund, a way to build Europe
  7. Ministerio de Educacion, Cultura y Deporte [FPU16/02087]
  8. Mexican institution Consejo Nacional de Ciencia y Tecnologia
  9. Catalan Institution for Research and Advanced Studies (ICREA-2021 Academia Program)

向作者/读者索取更多资源

This study presents a case of a patient with impulse control disorder (ICD) triggered by dopaminergic medication for Parkinson disease (PD). A combined intervention using cognitive behavioral therapy (CBT) and a serious game (e-Estesia) was carried out to reduce the harm of the disease. The results showed positive outcomes in terms of improved emotion regulation, reduced emotional distress, and lower levels of impulsivity.
Background: Impulse control disorders (ICDs) are commonly developed among patients who take dopamine agonist drugs as a treatment for Parkinson disease (PD). Gambling disorder and hypersexuality are more frequent in male patients with PD, with a prevalence over 4% in dopamine agonists users. Although impulsive-compulsive behaviors are related to antiparkinsonian medication, and even though ICD symptomatology, such as hypersexuality, often subsides when the dopaminergic dose is reduced, sometimes ICD persists in spite of drug adjustment. Consequently, a multidisciplinary approach should be considered to address these comorbidities and to explore new forms of complementary interventions, such as serious games or therapies adapted to PD. Objective: The aim of this study is to present the case of a patient with ICD (ie, hypersexuality) triggered by dopaminergic medication for PD. A combined intervention was carried out using cognitive behavioral therapy (CBT) for ICD adapted to PD, plus an intervention using a serious game-e-Estesia-whose objective is to improve emotion regulation and impulsivity. The aim of the combination of these interventions was to reduce the harm of the disease. Methods: After 20 CBT sessions, the patient received the e-Estesia intervention over 15 sessions. Repeated measures, before and after the combined intervention, were administered to assess emotion regulation, general psychopathology, and emotional distress and impulsivity. Results: After the intervention with CBT techniques and e-Estesia, the patient presented fewer difficulties to regulate emotion, less emotional distress, and lower levels of impulsivity in comparison to before the treatment. Moreover, the frequency and severity of the relapses also decreased. Conclusions: The combined intervention-CBT and a serious game-showed positive results in terms of treatment outcomes.

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